Gift Administration 9500 Gilman Drive, Mail Code 0940 Phone: (858) 534-8159 Fax: (858) 534-8160
Crowdfunding New Regents Gift Fund Information SheetDate**
Name of Fund**
VC Area** Department**
Division**
Crowdfunding Project Name, Purpose, and Restrictions**:
PI Name** Phone Number**
Mail Code** Email Address**
Business Officer Name** Phone Number**
Mail Code** Email Address**
Use**
Special Instruction:
Form Prepared by**
Please print this form for your records by clicking "Print Form" before clicking "Submit by Email". Attention Mac Users: Please print and mail to us at MC 0940
Go-Live Date **
Phone #**
Email Address**
Department Support
Research
Required items are noted with **
mm/day/year
Length of Crowdfunding Campaign **
# of Days
Fund Number Assigned by Gift Administration:
Index Prefix** Org #** Program #**